Credit Application

There are two ways for applying for the Business Credit Application.
One option is to fill out the form below and click SEND when you
receive the email with the credit application form, print the email,
sign and mail back to Combat Computers, 92 Capital Drive,
Charlottetown, PE C1E 1E7. The other option is to download and
print a PDF version by clicking on the Credit Application Form
button. Fill out the form by hand and mail the form to our Charlottetown or Summerside
address or send the form by fax to 902.892.0045.

Personal Information

Last Name*

First Name*

Middle Initial

Title

Name of Business*

Tax I.D. Number*

Address*

City*

Province / State*

Postal / Zip*

Phone*

Email*

Company Information

Type of Business*

In Business Since*

Legal Form Under Which Business Operates*

Corporation
Partnership
Proprietorship

If Division/Subsidiary, Name of Parent Company

In Business Since

Name of Company Principal Responsible for Business
Transactions

Title

Address*

City*

Province / State*

Postal / Zip*

Phone*

Name of Company Principal Responsible for Business
Transactions

Title

Address

City

Province / State

Postal / Zip

Phone

Bank References

Institution Name

Checking Account #

Address

Phone

Institution Name

Savings Account #

Address

Phone

Institution Name

Home Equity Loan

Loan Balance

Address

Phone

Trade References

Company Name

Contact Name

Address

Phone

Account Opened Since

Credit Limit

Credit Balance

Company Name

Contact Name

Address

Phone

Account Opened Since

Credit Limit

Credit Balance

Company Name

Contact Name

Address

Phone

Account Opened Since

Credit Limit

Credit Balance

Type the text:

I hereby certify that the information contained herein is complete
and accurate. This information has been furnished with the
understanding that it is to be used to determine the amount and
conditions of the credit to be extended. Furthermore, I hereby
authorize the financial institutions listed in this credit
application to release necessary information to the company for
which credit is being applied for in order to verify the information
contained herein. If for any reason payment has not been received to
Combat Computers Inc. then I authorize full payment plus interest on
all accounts. I personally guarantee payment for all accounts.

Click the Credit Application Form button below to print a PDF
version of the form.